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HOW to Bring a Fish BACK to LIFE - CPR

NYC's Anti-Vax Rally in 49 Seconds

newtboy says...

Texas held a similar rally in late July....the organizer, 30 year old Caleb Wallace, showed signs of covid by July 30 but refused testing or treatment, opting for vitamins and ivermectin, a horse dewormer conspiracy theorists have decided is some kind of covid medicine (it's not), and was hospitalized shortly thereafter and has been in icu since Aug 8 near death. His family, pregnant wife and three young kids, is begging online for funds to pay home and medical bills. The hospital has asked his family to sign a do not resuscitate order because they have no treatment options and are running out of oxygen thanks to so many anti vaxers filling the hospitals.
So far they have refused to sign, forcing the hospital to continue to treat him, meaning someone else with a chance to survive can't get a hospital bed and they will die too.

This guy spouted some of the most dangerous, anti science, anti medicine conspiracy theories and lies for a year, and worked hard to stop any actual medical advice from being followed.

No one deserves this outcome more. If only he had to live with it...death seems like he's getting off easy, leaving his family and the rest of us to live with the consequences of his choices.

The ass-kickingest look at our AI-assisted future

BSR says...

Not sure the knife in the mouth was lethal by itself but it did compound with the other injuries which probably caused him pass out. Mouth to mouth resuscitation is probably not an option.

10 CC - Donna (1972)

Fireman Saves Kitten, recorded on a GoPro

This Commercial Will Make you want to Live Healthier

aaronfr jokingly says...

Or die young. Or make sure you have a do not resuscitate order so that the stroke or heart attack you have at 65 does the job and the doctors don't 'prolong' your life just so you can spend it in an assisted care facility.

Oklahoma Doctors vs. Obamacare

MrFisk says...

http://www.nytimes.com/2010/06/20/magazine/20pacemaker-t.html?pagewanted=all

One October afternoon three years ago while I was visiting my parents, my mother made a request I dreaded and longed to fulfill. She had just poured me a cup of Earl Grey from her Japanese iron teapot, shaped like a little pumpkin; outside, two cardinals splashed in the birdbath in the weak Connecticut sunlight. Her white hair was gathered at the nape of her neck, and her voice was low. “Please help me get Jeff’s pacemaker turned off,” she said, using my father’s first name. I nodded, and my heart knocked.
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Upstairs, my 85-year-old father, Jeffrey, a retired Wesleyan University professor who suffered from dementia, lay napping in what was once their shared bedroom. Sewn into a hump of skin and muscle below his right clavicle was the pacemaker that helped his heart outlive his brain. The size of a pocket watch, it had kept his heart beating rhythmically for nearly five years. Its battery was expected to last five more.

After tea, I knew, my mother would help him from his narrow bed with its mattress encased in waterproof plastic. She would take him to the toilet, change his diaper and lead him tottering to the couch, where he would sit mutely for hours, pretending to read Joyce Carol Oates, the book falling in his lap as he stared out the window.

I don’t like describing what dementia did to my father — and indirectly to my mother — without telling you first that my parents loved each other, and I loved them. That my mother, Valerie, could stain a deck and sew an evening dress from a photo in Vogue and thought of my father as her best friend. That my father had never given up easily on anything.

Born in South Africa, he lost his left arm in World War II, but built floor-to-ceiling bookcases for our living room; earned a Ph.D. from Oxford; coached rugby; and with my two brothers as crew, sailed his beloved Rhodes 19 on Long Island Sound. When I was a child, he woke me, chortling, with his gloss on a verse from “The Rubaiyat of Omar Khayyam”: “Awake, my little one! Before life’s liquor in its cup be dry!” At bedtime he tucked me in, quoting “Hamlet” : “May flights of angels sing thee to thy rest!”

Now I would look at him and think of Anton Chekhov, who died of tuberculosis in 1904. “Whenever there is someone in a family who has long been ill, and hopelessly ill,” he wrote, “there come painful moments when all timidly, secretly, at the bottom of their hearts long for his death.” A century later, my mother and I had come to long for the machine in my father’s chest to fail.

Until 2001, my two brothers and I — all living in California — assumed that our parents would enjoy long, robust old ages capped by some brief, undefined final illness. Thanks to their own healthful habits and a panoply of medical advances — vaccines, antibiotics, airport defibrillators, 911 networks and the like — they weren’t likely to die prematurely of the pneumonias, influenzas and heart attacks that decimated previous generations. They walked every day. My mother practiced yoga. My father was writing a history of his birthplace, a small South African town.

In short, they were seemingly among the lucky ones for whom the American medical system, despite its fragmentation, inequity and waste, works quite well. Medicare and supplemental insurance paid for their specialists and their trusted Middletown internist, the lean, bespectacled Robert Fales, who, like them, was skeptical of medical overdoing. “I bonded with your parents, and you don’t bond with everybody,” he once told me. “It’s easier to understand someone if they just tell it like it is from their heart and their soul.”

They were also stoics and religious agnostics. They signed living wills and durable power-of-attorney documents for health care. My mother, who watched friends die slowly of cancer, had an underlined copy of the Hemlock Society’s “Final Exit” in her bookcase. Even so, I watched them lose control of their lives to a set of perverse financial incentives — for cardiologists, hospitals and especially the manufacturers of advanced medical devices — skewed to promote maximum treatment. At a point hard to precisely define, they stopped being beneficiaries of the war on sudden death and became its victims.

Things took their first unexpected turn on Nov. 13, 2001, when my father — then 79, pacemakerless and seemingly healthy — collapsed on my parents’ kitchen floor in Middletown, making burbling sounds. He had suffered a stroke.

He came home six weeks later permanently incapable of completing a sentence. But as I’ve said, he didn’t give up easily, and he doggedly learned again how to fasten his belt; to peck out sentences on his computer; to walk alone, one foot dragging, to the university pool for water aerobics. He never again put on a shirt without help or looked at the book he had been writing. One day he haltingly told my mother, “I don’t know who I am anymore.”

His stroke devastated two lives. The day before, my mother was an upper-middle-class housewife who practiced calligraphy in her spare time. Afterward, she was one of tens of millions of people in America, most of them women, who help care for an older family member.

Their numbers grow each day. Thanks to advanced medical technologies, elderly people now survive repeated health crises that once killed them, and so the “oldest old” have become the nation’s most rapidly growing age group. Nearly a third of Americans over 85 have dementia (a condition whose prevalence rises in direct relationship to longevity). Half need help with at least one practical, life-sustaining activity, like getting dressed or making breakfast. Even though a capable woman was hired to give my dad showers, my 77-year-old mother found herself on duty more than 80 hours a week. Her blood pressure rose and her weight fell. On a routine visit to Dr. Fales, she burst into tears. She was put on sleeping pills and antidepressants.

My father said he came to believe that she would have been better off if he had died. “She’d have weeped the weep of a widow,” he told me in his garbled, poststroke speech, on a walk we took together in the fall of 2002. “And then she would have been all right.” It was hard to tell which of them was suffering more.

As we shuffled through the fallen leaves that day, I thought of my father’s father, Ernest Butler. He was 79 when he died in 1965, before pacemakers, implanted cardiac defibrillators, stents and replacement heart valves routinely staved off death among the very old. After completing some long-unfinished chairs, he cleaned his woodshop, had a heart attack and died two days later in a plain hospital bed. As I held my dad’s soft, mottled hand, I vainly wished him a similar merciful death.

A few days before Christmas that year, after a vigorous session of water exercises, my father developed a painful inguinal (intestinal) hernia. My mother took him to Fales, who sent them to a local surgeon, who sent them to a cardiologist for a preoperative clearance. After an electrocardiogram recorded my father’s slow heartbeat — a longstanding and symptomless condition not uncommon in the very old — the cardiologist, John Rogan, refused to clear my dad for surgery unless he received a pacemaker.

Without the device, Dr. Rogan told me later, my father could have died from cardiac arrest during surgery or perhaps within a few months. It was the second time Rogan had seen my father. The first time, about a year before, he recommended the device for the same slow heartbeat. That time, my then-competent and prestroke father expressed extreme reluctance, on the advice of Fales, who considered it overtreatment.

My father’s medical conservatism, I have since learned, is not unusual. According to an analysis by the Dartmouth Atlas medical-research group, patients are far more likely than their doctors to reject aggressive treatments when fully informed of pros, cons and alternatives — information, one study suggests, that nearly half of patients say they don’t get. And although many doctors assume that people want to extend their lives, many do not. In a 1997 study in The Journal of the American Geriatrics Society, 30 percent of seriously ill people surveyed in a hospital said they would “rather die” than live permanently in a nursing home. In a 2008 study in The Journal of the American College of Cardiology, 28 percent of patients with advanced heart failure said they would trade one day of excellent health for another two years in their current state.

When Rogan suggested the pacemaker for the second time, my father was too stroke-damaged to discuss, and perhaps even to weigh, his trade­offs. The decision fell to my mother — anxious to relieve my father’s pain, exhausted with caregiving, deferential to doctors and no expert on high-tech medicine. She said yes. One of the most important medical decisions of my father’s life was over in minutes. Dr. Fales was notified by fax.

Fales loved my parents, knew their suffering close at hand, continued to oppose a pacemaker and wasn’t alarmed by death. If he had had the chance to sit down with my parents, he could have explained that the pacemaker’s battery would last 10 years and asked whether my father wanted to live to be 89 in his nearly mute and dependent state. He could have discussed the option of using a temporary external pacemaker that, I later learned, could have seen my dad safely through surgery. But my mother never consulted Fales. And the system would have effectively penalized him if she had. Medicare would have paid him a standard office-visit rate of $54 for what would undoubtedly have been a long meeting — and nothing for phone calls to work out a plan with Rogan and the surgeon.

Medicare has made minor improvements since then, and in the House version of the health care reform bill debated last year, much better payments for such conversations were included. But after the provision was distorted as reimbursement for “death panels,” it was dropped. In my father’s case, there was only a brief informed-consent process, covering the boilerplate risks of minor surgery, handled by the general surgeon.

I believe that my father’s doctors did their best within a compartmentalized and time-pressured medical system. But in the absence of any other guiding hand, there is no doubt that economics helped shape the wider context in which doctors made decisions. Had we been at the Mayo Clinic — where doctors are salaried, medical records are electronically organized and care is coordinated by a single doctor — things might have turned out differently. But Middletown is part of the fee-for-service medical economy. Doctors peddle their wares on a piecework basis; communication among them is haphazard; thinking is often short term; nobody makes money when medical interventions are declined; and nobody is in charge except the marketplace.

And so on Jan. 2, 2003, at Middlesex Hospital, the surgeon implanted my father’s pacemaker using local anesthetic. Medicare paid him $461 and the hospital a flat fee of about $12,000, of which an estimated $7,500 went to St. Jude Medical, the maker of the device. The hernia was fixed a few days later.

It was a case study in what primary-care doctors have long bemoaned: that Medicare rewards doctors far better for doing procedures than for assessing whether they should be done at all. The incentives for overtreatment continue, said Dr. Ted Epperly, the board chairman of the American Academy of Family Physicians, because those who profit from them — specialists, hospitals, drug companies and the medical-device manufacturers — spend money lobbying Congress and the public to keep it that way.

Last year, doctors, hospitals, drug companies, medical-equipment manufacturers and other medical professionals spent $545 million on lobbying, according to the Center for Responsive Politics. This may help explain why researchers estimate that 20 to 30 percent of Medicare’s $510 billion budget goes for unnecessary tests and treatment. Why cost-containment received short shrift in health care reform. Why physicians like Fales net an average of $173,000 a year, while noninvasive cardiologists like Rogan net about $419,000.

The system rewarded nobody for saying “no” or even “wait” — not even my frugal, intelligent, Consumer-Reports-reading mother. Medicare and supplemental insurance covered almost every penny of my father’s pacemaker. My mother was given more government-mandated consumer information when she bought a new Camry a year later.

And so my father’s electronically managed heart — now requiring frequent monitoring, paid by Medicare — became part of the $24 billion worldwide cardiac-device industry and an indirect subsidizer of the fiscal health of American hospitals. The profit margins that manufacturers earn on cardiac devices is close to 30 percent. Cardiac procedures and diagnostics generate about 20 percent of hospital revenues and 30 percent of profits.

Shortly after New Year’s 2003, my mother belatedly called and told me about the operations, which went off without a hitch. She didn’t call earlier, she said, because she didn’t want to worry me. My heart sank, but I said nothing. It is one thing to silently hope that your beloved father’s heart might fail. It is another to actively abet his death.

The pacemaker bought my parents two years of limbo, two of purgatory and two of hell. At first they soldiered on, with my father no better and no worse. My mother reread Jon Kabat-Zinn’s “Full Catastrophe Living,” bought a self-help book on patience and rose each morning to meditate.

In 2005, the age-related degeneration that had slowed my father’s heart attacked his eyes, lungs, bladder and bowels. Clots as narrow as a single human hair lodged in tiny blood vessels in his brain, killing clusters of neurons by depriving them of oxygen. Long partly deaf, he began losing his sight to wet macular degeneration, requiring ocular injections that cost nearly $2,000 each. A few months later, he forgot his way home from the university pool. He grew incontinent. He was collapsing physically, like an ancient, shored-up house.

In the summer of 2006, he fell in the driveway and suffered a brain hemorrhage. Not long afterward, he spent a full weekend compulsively brushing and rebrushing his teeth. “The Jeff I married . . . is no longer the same person,” my mother wrote in the journal a social worker had suggested she keep. “My life is in ruins. This is horrible, and I have lasted for five years.” His pacemaker kept on ticking.

When bioethicists debate life-extending technologies, the effects on people like my mother rarely enter the calculus. But a 2007 Ohio State University study of the DNA of family caregivers of people with Alzheimer’s disease showed that the ends of their chromosomes, called telomeres, had degraded enough to reflect a four-to-eight-year shortening of lifespan. By that reckoning, every year that the pacemaker gave my irreparably damaged father took from my then-vigorous mother an equal year.

When my mother was upset, she meditated or cleaned house. When I was upset, I Googled. In 2006, I discovered that pacemakers could be deactivated without surgery. Nurses, doctors and even device salesmen had done so, usually at deathbeds. A white ceramic device, like a TV remote and shaped like the wands that children use to blow bubbles, could be placed around the hump on my father’s chest. Press a few buttons and the electrical pulses that ran down the leads to his heart would slow until they were no longer effective. My father’s heart, I learned, would probably not stop. It would just return to its old, slow rhythm. If he was lucky, he might suffer cardiac arrest and die within weeks, perhaps in his sleep. If he was unlucky, he might linger painfully for months while his lagging heart failed to suffuse his vital organs with sufficient oxygenated blood.

If we did nothing, his pacemaker would not stop for years. Like the tireless charmed brooms in Disney’s “Fantasia,” it would prompt my father’s heart to beat after he became too demented to speak, sit up or eat. It would keep his heart pulsing after he drew his last breath. If he was buried, it would send signals to his dead heart in the coffin. If he was cremated, it would have to be cut from his chest first, to prevent it from exploding and damaging the walls or hurting an attendant.

On the Internet, I discovered that the pacemaker — somewhat like the ventilator, defibrillator and feeding tube — was first an exotic, stopgap device, used to carry a handful of patients through a brief medical crisis. Then it morphed into a battery-powered, implantable and routine treatment. When Medicare approved the pacemaker for reimbursement in 1966, the market exploded. Today pacemakers are implanted annually in more than 400,000 Americans, about 80 percent of whom are over 65. According to calculations by the Dartmouth Atlas research group using Medicare data, nearly a fifth of new recipients who receive pacemakers annually — 76,000 — are over 80. The typical patient with a cardiac device today is an elderly person suffering from at least one other severe chronic illness.

Over the years, as technology has improved, the battery life of these devices lengthened. The list of heart conditions for which they are recommended has grown. In 1984, the treatment guidelines from the American College of Cardiology declared that pacemakers were strongly recommended as “indicated” or mildly approved as “reasonable” for 56 heart conditions and “not indicated” for 31 more. By 2008, the list for which they were strongly or mildly recommended expanded to 88, with most of the increase in the lukewarm “reasonable” category.

The research backing the expansion of diagnoses was weak. Over all, only 5 percent of the positive recommendations were supported by research from multiple double-blind randomized studies, the gold standard of evidence-based medicine. And 58 percent were based on no studies at all, only a “consensus of expert opinion.” Of the 17 cardiologists who wrote the 2008 guidelines, 11 received financing from cardiac-device makers or worked at institutions receiving it. Seven, due to the extent of their financial connections, were recused from voting on the guidelines they helped write.

This pattern — a paucity of scientific support and a plethora of industry connections — holds across almost all cardiac treatments, according to the cardiologist Pierluigi Tricoci of Duke University’s Clinical Research Institute. Last year in The Journal of the American Medical Association, Tricoci and his co-authors wrote that only 11 percent of 2,700 widely used cardiac-treatment guidelines were based on that gold standard. Most were based only on expert opinion.

Experts are as vulnerable to conflicts of interest as researchers are, the authors warned, because “expert clinicians are also those who are likely to receive honoraria, speakers bureau [fees], consulting fees or research support from industry.” They called the current cardiac-research agenda “strongly influenced by industry’s natural desire to introduce new products.”

Perhaps it’s no surprise that I also discovered others puzzling over cardiologists who recommended pacemakers for relatives with advanced dementia. “78-year-old mother-in-law has dementia; severe short-term memory issues,” read an Internet post by “soninlaw” on Elderhope.com, a caregivers’ site, in 2007. “On a routine trip to her cardiologist, doctor decides she needs a pacemaker. . . . Anyone have a similar encounter?”

By the summer of 2007, my dad had forgotten the purpose of a dinner napkin and had to be coached to remove his slippers before he tried to put on his shoes. After a lifetime of promoting my father’s health, my mother reversed course. On a routine visit, she asked Rogan to deactivate the pacemaker. “It was hard,” she later told me. “I was doing for Jeff what I would have wanted Jeff to do for me.” Rogan soon made it clear he was morally opposed. “It would have been like putting a pillow over your father’s head,” he later told me.

Not long afterward, my mother declined additional medical tests and refused to put my father on a new anti-dementia drug and a blood thinner with troublesome side effects. “I take responsibility for whatever,” she wrote in her journal that summer. “Enough of all this overkill! It’s killing me! Talk about quality of life — what about mine?”

Then came the autumn day when she asked for my help, and I said yes. I told myself that we were simply trying to undo a terrible medical mistake. I reminded myself that my dad had rejected a pacemaker when his faculties were intact. I imagined, as a bioethicist had suggested, having a 15-minute conversation with my independent, predementia father in which I saw him shaking his head in horror over any further extension of what was not a “life,” but a prolonged and attenuated dying. None of it helped. I knew that once he died, I would dream of him and miss his mute, loving smiles. I wanted to melt into the arms of the father I once had and ask him to handle this. Instead, I felt as if I were signing on as his executioner and that I had no choice.

Over the next five months, my mother and I learned many things. We were told, by the Hemlock Society’s successor, Compassion and Choices, that as my father’s medical proxy, my mother had the legal right to ask for the withdrawal of any treatment and that the pacemaker was, in theory at least, a form of medical treatment. We learned that although my father’s living will requested no life support if he were comatose or dying, it said nothing about dementia and did not define a pacemaker as life support. We learned that if we called 911, emergency medical technicians would not honor my father’s do-not-resuscitate order unless he wore a state-issued orange hospital bracelet. We also learned that no cardiology association had given its members clear guidance on when, or whether, deactivating pacemakers was ethical.

(Last month that changed. The Heart Rhythm Society and the American Heart Association issued guidelines declaring that patients or their legal surrogates have the moral and legal right to request the withdrawal of any medical treatment, including an implanted cardiac device. It said that deactivating a pacemaker was neither euthanasia nor assisted suicide, and that a doctor could not be compelled to do so in violation of his moral values. In such cases, it continued, doctors “cannot abandon the patient but should involve a colleague who is willing to carry out the procedure.” This came, of course, too late for us.)

In the spring of 2008, things got even worse. My father took to roaring like a lion at his caregivers. At home in California, I searched the Internet for a sympathetic cardiologist and a caregiver to put my Dad to bed at night. My frayed mother began to shout at him, and their nighttime scenes were heartbreaking and frightening. An Alzheimer’s Association support-group leader suggested that my brothers and I fly out together and institutionalize my father. This leader did not know my mother’s formidable will and had never heard her speak about her wedding vows or her love.

Meanwhile my father drifted into what nurses call “the dwindles”: not sick enough to qualify for hospice care, but sick enough to never get better. He fell repeatedly at night and my mother could not pick him up. Finally, he was weak enough to qualify for palliative care, and a team of nurses and social workers visited the house. His chest grew wheezy. My mother did not request antibiotics. In mid-April 2008, he was taken by ambulance to Middlesex Hospital’s hospice wing, suffering from pneumonia.

Pneumonia was once called “the old man’s friend” for its promise of an easy death. That’s not what I saw when I flew in. On morphine, unreachable, his eyes shut, my beloved father was breathing as hard and regularly as a machine.

My mother sat holding his hand, weeping and begging for forgiveness for her impatience. She sat by him in agony. She beseeched his doctors and nurses to increase his morphine dose and to turn off the pacemaker. It was a weekend, and the doctor on call at Rogan’s cardiology practice refused authorization, saying that my father “might die immediately.” And so came five days of hard labor. My mother and I stayed by him in shifts, while his breathing became increasingly ragged and his feet slowly started to turn blue. I began drafting an appeal to the hospital ethics committee. My brothers flew in.

On a Tuesday afternoon, with my mother at his side, my father stopped breathing. A hospice nurse hung a blue light on the outside of his hospital door. Inside his chest, his pacemaker was still quietly pulsing.

After his memorial service in the Wesleyan University chapel, I carried a box from the crematory into the woods of an old convent where he and I often walked. It was late April, overcast and cold. By the side of a stream, I opened the box, scooped out a handful of ashes and threw them into the swirling water. There were some curious spiraled metal wires, perhaps the leads of his pacemaker, mixed with the white dust and pieces of bone.

A year later, I took my mother to meet a heart surgeon in a windowless treatment room at Brigham and Women’s Hospital in Boston. She was 84, with two leaking heart valves. Her cardiologist had recommended open-heart surgery, and I was hoping to find a less invasive approach. When the surgeon asked us why we were there, my mother said, “To ask questions.” She was no longer a trusting and deferential patient. Like me, she no longer saw doctors — perhaps with the exception of Fales — as healers or her fiduciaries. They were now skilled technicians with their own agendas. But I couldn’t help feeling that something precious — our old faith in a doctor’s calling, perhaps, or in a healing that is more than a financial transaction or a reflexive fixing of broken parts — had been lost.

The surgeon was forthright: without open-heart surgery, there was a 50-50 chance my mother would die within two years. If she survived the operation, she would probably live to be 90. And the risks? He shrugged. Months of recovery. A 5 percent chance of stroke. Some possibility, he acknowledged at my prompting, of postoperative cognitive decline. (More than half of heart-bypass patients suffer at least a 20 percent reduction in mental function.) My mother lifted her trouser leg to reveal an anklet of orange plastic: her do-not-resuscitate bracelet. The doctor recoiled. No, he would not operate with that bracelet in place. It would not be fair to his team. She would be revived if she collapsed. “If I have a stroke,” my mother said, nearly in tears, “I want you to let me go.” What about a minor stroke, he said — a little weakness on one side?

I kept my mouth shut. I was there to get her the information she needed and to support whatever decision she made. If she emerged from surgery intellectually damaged, I would bring her to a nursing home in California and try to care for her the way she had cared for my father at such cost to her own health. The thought terrified me.

The doctor sent her up a floor for an echocardiogram. A half-hour later, my mother came back to the waiting room and put on her black coat. “No,” she said brightly, with the clarity of purpose she had shown when she asked me to have the pacemaker deactivated. “I will not do it.”

She spent the spring and summer arranging house repairs, thinning out my father’s bookcases and throwing out the files he collected so lovingly for the book he never finished writing. She told someone that she didn’t want to leave a mess for her kids. Her chest pain worsened, and her breathlessness grew severe. “I’m aching to garden,” she wrote in her journal. “But so it goes. ACCEPT ACCEPT ACCEPT.”

Last August, she had a heart attack and returned home under hospice care. One evening a month later, another heart attack. One of my brothers followed her ambulance to the hospice wing where we had sat for days by my father’s bed. The next morning, she took off her silver earrings and told the nurses she wanted to stop eating and drinking, that she wanted to die and never go home. Death came to her an hour later, while my brother was on the phone to me in California — almost as mercifully as it had come to my paternal grandfather. She was continent and lucid to her end.

A week later, at the same crematory near Long Island Sound, my brothers and I watched through a plate-glass window as a cardboard box containing her body, dressed in a scarlet silk ao dai she had sewn herself, slid into the flames. The next day, the undertaker delivered a plastic box to the house where, for 45 of their 61 years together, my parents had loved and looked after each other, humanly and imperfectly. There were no bits of metal mixed with the fine white powder and the small pieces of her bones.

Katy Butler lives in Mill Valley, Calif., and teaches memoir writing at the Esalen Institute in Big Sur.

Save yourself if you're choking and alone

bamdrew says...

CAUTION: this is one man's hypothesis.

Serious research goes into improving and testing choking and resuscitation techniques.

This wonderful gentleman is sharing his thoughts on a potentially very useful solo-Hemlich technique, not teaching something that has proven utility in real situations with variable body types (not just muscley ex-boxer firefighters, but busty middle-age women, skinny computer-nerd twenty-somthings, elderly post-hipsurgery grandpas, etc.).

Oil Lobby threatens Obama

cosmovitelli says...

>> ^Yogi:


They're mad. They're very upset that Obama isn't doing what he said he was gonna do. They're fucking morons believing in fairytales.


Yeah they're crazy for wanting to stop the destruction of the biosphere, end suicidal trillion dollar opportunistic oil heists around the world, get rid of nukes before one ends up in NYC, control the bullying of 6th generation intellectually mediocre inheritees wielding billions, stop rich right wing politicians sending the poor off to die in foreign fields in return for backhanders from Halliburton, Blackwater and the oil companies, stop 'losing' billions of dollars in cash on aeroplanes bound for Baghdad, try and resuscitate America's tattered reputation as a country of democracy, freedom and law, deal with Afghanistan, Pakistan and Saudi because THATS WHERE THE TERRORISTS LIVE NOT IRAQ, stop burning thousands of children to death in their cots in self defeating attempts to dominate huge populations of increasing angry bereaved paupers,and stop America from ending up as the poor beggar in a nuclear standoff with china in 20 years that they'll have to back down from cos china could take everything the US has and walk away with 300m people breathing -and the US knows it- and the west now talking about 'freedom' and respect for individuals and other nations will just make the Chinese commie party laugh even harder (and milks been coming out of their nose since 2002).

Stop America tearing itself to pieces and handing the next 2 centuries to 1.5 billion Chinese who have EVEN LESS interest and empathy for the 'Rest Of World' than Americans?

Maybe you're right Yogi.

God does exist. Testimony from an ex-atheist:

shinyblurry says...

hey look..you are poorly informed here..you said my response was very unsatisfying and also inaccurate to boot? you stated that zoroasterism is older than judiasm as if it were an undisputed fact; well sorry but that is not the prevailing viewpoint. there is a lot of misinformation out there on this subject. if you just want to look at the merits of the case the Zoroaster belief is primitive by comparison, if one could be identified as a crude copy, that would be it.

The Christ Conspiracy is the main source of information in Zeitgeist].
http://www.answeringinfidels.com/answering-skeptics/answering-acharya-s/a-refutation-of-archary-ss-book-the-christ-conspiracy-pt-1.html

Was the New Testament Influenced by Pagan Religions
http://benwitherington.blogspot.com/2007/12/zeitgeist-of-zeitgeist-movie.html

The Death of the Mystery Gods and the Death of Jesus

The best way to evaluate the alleged dependence of early Christian beliefs about Christ's death and resurrection on the pagan myths of a dying and rising savior-god is to examine carefully the supposed parallels. The death of Jesus differs from the deaths of the pagan gods in at least six ways:

(1) None of the so-called savior-gods died for someone else. The notion of the Son of God dying in place of His creatures is unique to Christianity.[13]

(2) Only Jesus died for sin. As Gunter Wagner observes, to none of the pagan gods "has the intention of helping men been attributed. The sort of death that they died is quite different (hunting accident, self-emasculation, etc.)."[14]

(3) Jesus died once and for all (Heb. 7:27; 9:25-28; 10:10-14). In contrast, the mystery gods were vegetation deities whose repeated deaths and resuscitations depict the annual cycle of nature.

(4) Jesus' death was an actual event in history. The death of the mystery god appears in a mythical drama with no historical ties; its continued rehearsal celebrates the recurring death and rebirth of nature. The incontestable fact that the early church believed that its proclamation of Jesus' death and resurrection was grounded in an actual historical event makes absurd any attempt to derive this belief from the mythical, nonhistorical stories of the pagan cults.[15]

(5) Unlike the mystery gods, Jesus died voluntarily. Nothing like this appears even implicitly in the mysteries.

(6) And finally, Jesus' death was not a defeat but a triumph. Christianity stands entirely apart from the pagan mysteries in that its report of Jesus' death is a message of triumph. Even as Jesus was experiencing the pain and humiliation of the cross, He was the victor. The New Testament's mood of exultation contrasts sharply with that of the mystery religions, whose followers wept and mourned for the terrible fate that overtook their gods.[16]


>> ^enoch:
a whole page concerning zarathustra?
didnt you already answer this question?
and how does this page you link conflict with zoroastrian influence in the bible?
it confirms the influence on early biblical scribes.
/confused
and i notice still no answer on my other queries.
if you are unable to i understand.
again.i thank you for your prompt reply.

Cryonics ~ Discussion Welcome ! :)

ponceleon says...

>> ^burdturgler:

Well, I'm glad at least you are watching the video. It's very old. A lot has changed. It's crazy to me that when we are confronted with the scientific reality that organs, tissue and even entire living creatures have been and continue to be brought back from a state of cryogenic preservation, that one would think reviving a human brain with identity critical brain mass intact is some sort of scam. When you see them say "Anita is doing great" it is because they view Anita as a patient awaiting resuscitation, not as a corpse.


Again, don't get me wrong. If you asked me if I would take this service for free over being buried or cremated, sure. It is the expense v the actual science that I object to. It is a waste of money plain and simple.

The whole "Anita is doing great" is symptomatic of the delusional state under which the people who run this place are operating. Are they preserving organic matter that may be able to be cloned using some science-fictiony method in the far far far future? Sure. Are they actually "preserving humans so that they can be reanimated" no. I just keep going back to the hamburger analogy. Anita has been butchered. The people involved in these non-medical procedures are not doctors for the most part and there are absolutely no studies to show that these methods work.

I realize that Alcor (and I assume their competitor) bathe themselves in scientific language and allusions, but the fact remains that the procedures they are doing are not based in the scientific method. They clearly state that they are counting on nanotechnology (as well as other advances) that doesn't exist to repair damage that is pretty much irreversible to our present understanding. This is tantamount to me saying that with all certainty there will be warp-speed or transporters in the future.

Yes, I realize that many things in science were once science fiction, but there are both practical and scientific limits to consider. The science I will leave to the scientist, the practical stuff, I feel is enough to realize that this isn't worth what they are charging. There is no way that Alcor will exist long enough for science to catch up with what would be necessary to "revive" the material they are storing. 35 years is a flash in the pan when it comes to the type of advances that would be necessary to do anything useful with the meat in their freezers.

Cryonics ~ Discussion Welcome ! :)

burdturgler says...

Well, I'm glad at least you are watching the video. It's very old. A lot has changed. It's crazy to me that when we are confronted with the scientific reality that organs, tissue and even entire living creatures have been and continue to be brought back from a state of cryogenic preservation, that one would think reviving a human brain with identity critical brain mass intact is some sort of scam. When you see them say "Anita is doing great" it is because they view Anita as a patient awaiting resuscitation, not as a corpse.

How to Resuscitate a Nude Model!

Seric says...

>> ^Hybrid:
That's Gunther von Hagens in the background and at the end of the video, the guy who does the artworks with cadavers. This leads me to believe that this has come from one of his Channel 4 live autopsies or biological documentaries on UK TV. They use nude models (male and female) to illustrate key things to the audience at different points throughout the show.


Correct

>> ^Jinx:
>> ^RadHazG:
I'm not sure why she's naked either it doesn't really make any sense. As to the audience acting so calm its probably because its a British program (programme!) and surprising to most americans, in europe a womans body is just a body. While we in america go nuts and riot over janet jacksons brief half second patsy covered blurry tit, in europe nudity is no big deal, nor is sexuality in general. At least its not nearly as big a deal as it is here.

I dunno about that, you wouldn't see this programme before 9pm I think.
Why is she naked? Errrrrrrr...not 100%, but I think the comment above is correct. The corpses weren't clothed, so why would the living ones be either. Frankly I'm a little disappointed the Red Cross instructor was clothed and didn't check to see if the tongue had fallen into the girls throat with her own tongue.


I used demonstrator models for CPR in a water rescue course, the models will be naked as it's easier to see the rib structure and determine the the point of the sternum. It's vital that you're compressing the correct area for CPR to work effectively, giving the visual aid of being able to see where on the body to place your hands for resuscitation is a useful way of making sure first time learners (quite a few of the audience I'd imagine) will have a clearer idea of what to do and how to do it properly. Learning basic anatomy in situations like this are key, as you can apply what you know to all sizes and shapes of body rather than a guess of 'about there is good'.

How to Resuscitate a Nude Model!

Unattended Home Birth - The Final Glorious Moments

spoco2 says...

My wife had all of our children naturally with no pain relief and no intervention, and the last one we had at home in water like this.

BUT.

Doing it at home with no midwives is just stupid as far as I'm concerned. What if something went wrong? Could they handle resuscitating? What if she had a large bleed out? Would they really know if the baby was in trouble? Really, what is gained by doing it on your own without a knowledgeable midwife (or two as we have to have here... well, did... they're kinda doing their best to make it effectively illegal in Australia to have a homebirth )?

Why do they feel it's a good idea to put themselves and the baby at risk? What? Just so they can boast that they did it all themselves?

I hate the hospital system and f*cking OBGYNs who prowl halls asking if anyone wants a spinal block (I kid you not, at our first birth, that's what was happening). I hate that they manufacture reasons to interfere and stop a woman being able to give birth as she was supposed to.

BUT

You should have people who know what to do when things go wrong, who know the signs that things are going wrong, who can tell you what's normal and what isn't. Doing it with just you and your husband there is just plain out stupid, selfish and dangerous. And doing shit like this just makes it harder for other parents like myself who are fighting the battle to keep the ability to birth at home an actual option at all.

Oh, and fjules, you're a fuckwit, plain and simple.



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